Augment Breasts & Preserve Natural Tissue

Motiva Preservé in Charleston, SC, is a tissue-preserving breast augmentation technique that aims to enhance breast volume while protecting the breast’s natural anatomy. Instead of cutting muscle or disrupting support structures, the technique gently creates space for the implant while preserving ligaments, sensation, and chest muscles. Motiva SmoothSilk Ergonomix implants are then placed through a small incision, allowing the breasts to move and feel more natural. The goal is thoughtful enhancement that respects your anatomy rather than altering it.

Motiva Preservé Overview

woman in white undergarments

What Does Motiva Preservé Treat?

Motiva Preservé in Charleston, SC, helps enhance breast shape and volume while preserving the natural structures of the breast. It may be considered if you want a subtle, natural-looking enhancement without extensive disruption to breast tissue. Motiva Preservé may help with:

  • Loss of natural breast volume
  • Breasts that feel small relative to body proportions
  • Desire for natural-looking breast enhancement
  • Mild asymmetry in breast size or shape
  • Early breast deflation after pregnancy or weight changes
  • Desire for augmentation with tissue preservation in mind

Why Choose Dr. Jason Ulm for Motiva Preservé?

Not only is Dr. Jason Ulm a fellowship-trained plastic surgeon, double board-certified in general and plastic surgery, but he was first in the state of South Carolina to perform Motiva Preservé procedures. Performing Motiva Preservé requires specialized training, and only a small number of surgeons in the United States are trained to offer this tissue-preserving technique.

Dr. Ulm's extensive background in both aesthetic and advanced breast reconstruction surgery gives him the technical foundation to perform breast procedures with careful precision and respect for natural anatomy.

Patients often say he delivers exactly what they asked for. That begins with unusually thorough consultations where every step, limitation, and expected outcome is discussed clearly. Nothing is rushed. Dr. Ulm listens carefully, measures precisely, and designs a surgical plan tailored to your anatomy so the final result reflects the goal you agreed on together.

Schedule A Consultation

Contact Us Today

Key Features of Motiva Preservé 

Preserves the Natural Structures of the Breast

Motiva Preservé is designed to enhance breast volume while protecting the anatomy that supports natural breast function. Instead of cutting through ligaments or muscle, the technique gently separates tissue planes to create space for the implant. This helps preserve the breast’s internal support structures, blood supply, and sensation for long-term breast stability.

Minimally Disruptive Surgical Technique

The procedure uses specialized instruments that allow the surgeon to create an implant pocket without traditional surgical dissection. A narrow channel is formed through a small incision, and a controlled balloon device gently creates the implant pocket. Because the tissue is moved aside rather than cut, the surrounding anatomy experiences less trauma. 

Motiva SmoothSilk Ergonomix Implants

Motiva Preservé uses Motiva SmoothSilk Ergonomix implants, which are engineered to behave more like natural breast tissue. The implant adapts to body position, appearing round when lying down and more teardrop-shaped when standing. This allows the breasts to move naturally with the body. The SmoothSilk surface also reduces inflammatory response around the implant. 

Background media

Am I a Candidate for Motiva Preservé?

Motiva Preservé may be appropriate for you if you are seeking breast augmentation for the first time and want a natural-looking enhancement while preserving the breast’s internal structures.

Patients who prefer moderate volume, minimal disruption to breast tissue, and a technique that protects sensation and support structures are often good candidates. During your consultation, Dr. Ulm carefully evaluates your anatomy, breast measurements, tissue characteristics, and aesthetic goals to ensure the procedure fits your body and delivers the result you want.

woman

Benefits of Motiva Preservé

Motiva Preservé in Charleston, SC, enhances breast volume and shape while respecting the natural anatomy of the breast. Many patients are drawn to this because it prioritizes tissue preservation and thoughtful surgical planning. 

Potential advantages include:

  • Preservation of breast ligaments, sensation, and chest muscles
  • Minimal disruption to natural breast tissue structures
  • Smaller incision placed in the inframammary fold
  • Implant placement that supports natural breast movement
  • Motiva SmoothSilk Ergonomix implants that adapt to body position
  • Supports a smoother, more efficient recovery

Your Complete Motiva Preservé Experience

Motiva Preservé Surgery

Your Motiva Preservé session is carefully planned based on the measurements taken during your consultation. After the treatment area is prepared and anesthesia is administered, Dr. Ulm creates a small incision within the inframammary fold. He then creates a narrow channel that allows access to the implant space without cutting through the breast’s support structures.

Next, a controlled balloon device is inserted through this channel to gradually create a precise implant pocket that matches the dimensions of your selected Motiva implant. Once the pocket is prepared rather than dissected, the implant is placed into position. Because the surrounding tissue is preserved, this technique supports natural breast movement and stability. 

Motiva Preservé Consultation

During your consultation, you will meet directly with Dr. Ulm to discuss your goals and what you want your breasts to look like. He will examine your breasts, skin quality, and chest anatomy, then take detailed measurements to determine implant size and pocket dimensions. You will review Motiva SmoothSilk Ergonomix implants and discuss how the Preservé technique works. Dr. Ulm will then explain the procedure step by step, including incision placement, recovery expectations, and limitations, so you clearly understand what the surgery can achieve.

Motiva Preservé Recovery

After Motiva Preservé, you may notice mild swelling, tightness, and soreness in the chest during the first 48-72 hours. Most patients can resume light activities within two to three days, though you should avoid strenuous activity or lifting for about two weeks. Bruising and swelling improve over the first one to two weeks. You may be asked to wear a supportive surgical bra during the early healing phase, and you must attend all follow-ups with Dr. Ulm.

Motiva Preservé Results

You will notice increased breast volume immediately after your Motiva Preservé procedure, though swelling may temporarily affect shape and firmness. As swelling gradually resolves over the next several weeks, the breasts begin to soften and settle into a more natural position. Most patients see a more stable appearance in six to eight weeks. Maintaining a stable weight and a healthy lifestyle can help support the longevity of your outcome. 

Background media

Motiva Preservé Frequently Asked Questions

How is Motiva Preservé different from traditional augmentation?

Motiva Preservé is performed to enhance breast volume while preserving the breast’s natural structures. Traditional augmentation techniques often require more surgical dissection to create the implant pocket. Preservé instead uses specialized instruments that separate tissue planes and maintain ligaments, sensation, and chest muscles. The goal is to respect the natural anatomy of the breast while still achieving meaningful enhancement.

Will my breasts still feel natural after Motiva Preservé?

Many patients choose Motiva Preservé because the implants and technique support natural movement and feel. Motiva SmoothSilk Ergonomix implants adapt to your natural body position, appearing round when you lie down and more teardrop-shaped when standing. Because the breast’s internal support structures are preserved, the breasts can move more naturally.

How large can implants be with Motiva Preservé?

Motiva Preservé is generally best suited for moderate volume enhancement rather than extremely large implants. The technique is built around preserving natural anatomy, which means the implant size must align with your breast tissue and chest dimensions. Dr. Ulm will take detailed measurements and explain what implant sizes are appropriate for your anatomy.

Will I lose nipple sensation after surgery?

Preserving nipple sensation is a key goal of the Preservé technique. Because the procedure avoids cutting through key breast structures, it helps maintain the nerves and support tissues that contribute to sensation. However, any breast surgery carries some risk of temporary or permanent sensation changes, which Dr. Ulm will discuss during your consultation.

Where are the scars located?

The incision is typically placed in the inframammary fold, the natural crease beneath the breast. This location helps conceal the scar within the breast fold when standing. The incision used for Motiva Preservé is generally smaller than those used in traditional augmentation because the implant and instruments can pass through a narrower opening.

Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at (843) 884-3277.
Contact Us